MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (EIN 87-0790288)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201121299349301217
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T09:58:16-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870790288 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 6145464300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7333 SMITHS MILL ROAD | AddressLine1 |
| City | NEW ALBANY | City |
| State | OH | State |
| ZIP Code | 430549291 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE PRIMEAU | Name |
| Title | SVP & CFO | Title |
| Phone | 6145464300 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACQUELINE PRIMEAU | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD ST | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43213 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 97107613 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MOUNTCARMELHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | SPECIALTY HOSPITAL PROVIDING ORTHOPEDIC, NEUROLOGIC AND MUSCULOSKELETAL CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 1134 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 93288821 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 96152318 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -288583 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 607673 | OtherRevenuePriorYear |
| Other Revenue Current Year | 954161 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 93607911 | TotalRevenuePriorYear |
| Total Revenue Current Year | 97107613 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 76269937 | OtherExpensePriorYear |
| Other Expenses Current Year | 79655697 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 76269937 | TotalExpensesPriorYear |
| Total Expenses Current Year | 79655697 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17337974 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17451916 | RevenuesLessExpensesCY |
| Total Assets BOY | 100178235 | TotalAssetsBOY |
| Total Assets EOY | 95576073 | TotalAssetsEOY |
| Total Liabilities BOY | 9120457 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7754480 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 91057778 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 87821593 | NetAssetsOrFundBalancesEOY |
| Mission Description | SPECIALTY HOSPITAL PROVIDING INPATIENT AND OUTPATIENT ORTHOPEDIC, NEUROLOGIC AND MUSCULOSKELETAL CARE - SEE SCHEDULE H FOR MORE INFORMATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 74668231 | Expense |
| Revenue | 96715371 | Revenue |
| Description | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS THE NEWEST ADDITION TO THE MOUNT CARMEL HEALTH SYSTEM SINCE ITS PURCHASE ON JANUARY 1, 2007. MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS A PLACE WHERE YEARS OF PHYSICIAN EXPERIENCE MEET PERSONAL ATTENTION - WHERE WORLD-CLASS CARE MEETS WORLD-CLASS CARING. AS A SPECIALTY HOSPITAL FOCUSED SOLELY ON INPATIENT AND OUTPATIENT ORTHOPEDIC, NEUROLOGIC AND MUSCULOSKELETAL CARE, IT IS A FACILITY BUILT DIFFERENTLY FROM THE GROUND UP; A PLACE WHERE TECHNOLOGY AND TOUCH PLAY AN EQUAL ROLE IN THE HEALING PROCESS. MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL FEATURES TECHNOLOGICALLY ADVANCED TREATMENTS COMBINED WITH A PURPOSEFUL CARING PHILOSOPHY FOR EACH PATIENT.THE TWO-STORY FACILITY INCLUDES 96,000 SQUARE FEET, FORTY-TWO PATIENT ROOMS AND EIGHT OPERATING ROOMS. APPROXIMATELY EIGHTY PERCENT OF THE PROCEDURES PERFORMED AT MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL ARE DONE ON AN OUTPATIENT BASIS. THE REMAINING TWENTY PERCENT ARE INPATIENT AND ARE PRIMARILY TOTAL JOINT REPLACEMENT AND SPINE PROCEDURES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISSIONTHE MISSION STATEMENT FOR THE HOSPITAL IS AS FOLLOWS: WE SERVE TOGETHER IN TRINITY HEALTH IN THE SPIRIT OF THE GOSPEL TO HEAL BODY, MIND AND SPIRIT TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND TO STEWARD THE RESOURCES ENTRUSTED TO US. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 74668231 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACQUELINE PRIMEAU | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6145464300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6150 EAST BROAD STREET | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43213 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CLAUS VON ZYCHLIN | ||||||||
| PRES, CEO & VICE CHAIR | 5.00 | X | X | 0 | 1007069 | 70248 | ||
| CARL BERASI DO | ||||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| SR BARBARA HAHL CSC | ||||||||
| SEC/TREAS | 5.00 | X | X | 0 | 0 | 8213 | ||
| CHARLES HICKEY MD | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT DURBIN MD | ||||||||
| TRUSTEE (THROUGH 12/09) | 2.00 | X | 0 | 0 | 0 | |||
| CHARLES KERR DO | ||||||||
| TRUSTEE (AS OF 1/10) | 2.00 | X | 0 | 0 | 0 | |||
| JACQUELINE PRIMEAU | ||||||||
| SVP & CFO | 5.00 | X | 0 | 491642 | 32586 | |||
| RICHARD D'ENBEAU | ||||||||
| PRESIDENT & COO | 50.00 | X | 700928 | 0 | 0 | |||
| RONALD WHITESIDE | ||||||||
| EXEC VP & SYSTEM COO | 5.00 | X | 0 | 453976 | 269271 | |||
| JOHN HEISLER | ||||||||
| SVP SYSTEM HUMAN AFFAIRS | 5.00 | 0 | 299295 | 43505 | X | |||
| HUGH JONES | ||||||||
| SVP STRATEGY&SYSTEM DEV | 5.00 | 0 | 286450 | 32785 | X | |||
| JOSEPH SWEDISH | ||||||||
| TRINITY HEALTH PRES&CEO | 2.00 | 0 | 3023292 | 798303 | X | |||
| MICHAEL SLUBOWSKI | ||||||||
| TRIN PRES HLTH&HOSP NTWK | 2.00 | 0 | 1617841 | 154389 | X | |||
| KEDRICK ADKINS | ||||||||
| TRINITY PRES INTEG SVCS | 2.00 | 0 | 1453695 | 130171 | X | |||
| J RICHARD OCONNELL | ||||||||
| INTERIM PRES HOSP NTWK | 2.00 | 0 | 495143 | 11123 | X | |||
| ANGELA M GILMORE | ||||||||
| DIRECTOR FINANCIAL OPS | 40.00 | 0 | 121410 | 23329 | X | |||
| DONNA HUTCHINSON | ||||||||
| DIRECTOR RADIOLOGY | 40.00 | 0 | 103370 | 21919 | X | |||
| CHRISTINA ROSS | ||||||||
| STAFF RN-CERT | 40.00 | 0 | 101429 | 19677 | X | |||
| MARY BOTOS | ||||||||
| DIRECTOR QUALITY/RISK | 40.00 | 0 | 101264 | 41454 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 700928 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9555876 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1656973 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NEW ALBANY HOSPITAL MANAGEMENT COMPANY I | |||||
| 11 SECOND STREET | NEW ALBANY | OH | 43054 | MANAGEMENT SERVICES | 1823428 |
| SODHEXHO INC AND AFFILIATES | |||||
| 4880 PAYSHERE CIRCLE | CHICAGO | IL | 60674 | MANAGEMENT SERVICES | 1278726 |
| LABORATORY CORPORATION OF AMERICA | |||||
| 6370 WILCOX RD | DUBLIN | OH | 43016 | LABORATORY SERVICES | 1043961 |
| ELFORD INC | |||||
| 1220 DUBLIN ROAD | COLUMBUS | OH | 43215 | CONSTRUCTION SVCS | 764161 |
| MESSER CONSTRUCTION | |||||
| 5158 FISHWICK DRIVE | CINCINNATI | OH | 45216 | CONSTRUCTION SVCS | 672000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| All Other Contributions | 1134 | AllOtherContributions |
| Total Contributions | 1134 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SVC REV | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 96152318 | TotalRevenueColumn |
| Related Or Exempt Function Income | 96152318 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 96152318 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | 563053 | 563053 | |
| CAFETERIA | 900099 | 391108 | $391,108 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 954161 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 97107613 | TotalRevenueColumn |
| Related Or Exempt Function Income | 96715371 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $391,108 | ExclusionAmount |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4138486 | Total |
| Program Services | 2288057 | ProgramServices |
| Management And General | 1850429 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2316075 | Total |
| Program Services | 1687947 | ProgramServices |
| Management And General | 628128 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000 | Total |
| Management And General | 2000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35852061 | Total |
| Program Services | 35174292 | ProgramServices |
| Management And General | 677769 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2273233 | Total |
| Program Services | 2146002 | ProgramServices |
| Management And General | 127231 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12662 | Total |
| Program Services | 7789 | ProgramServices |
| Management And General | 4873 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35226 | Total |
| Program Services | 15960 | ProgramServices |
| Management And General | 19266 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1400792 | Total |
| Program Services | 1400792 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6727494 | Total |
| Program Services | 6516271 | ProgramServices |
| Management And General | 211223 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407824 | Total |
| Program Services | 407824 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LBR COSTS PD BY PARENT | 12768686 | 11436976 | 1331710 |
| CORPORATE ALLOCATION | 7810717 | 7810717 | |
| CONTRACT LABOR | 3007876 | 3007876 | |
| HOSPITAL PROVIDER TAX | 1202243 | 1202243 | |
| BAD DEBT | 946192 | 946192 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754130 | Total |
| Program Services | 619293 | ProgramServices |
| Management And General | 134837 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79655697 | Total |
| Program Services | 74668231 | ProgramServices |
| Management And General | 4987466 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400 | BOY |
| EOY | 700 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11220708 | BOY |
| EOY | 8649206 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 511321 | BOY |
| EOY | 708525 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560037 | BOY |
| EOY | 617361 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 52918461 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8031343 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44933357 | BOY |
| EOY | 44887118 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42924979 | BOY |
| EOY | 40290389 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27433 | BOY |
| EOY | 422774 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100178235 | BOY |
| EOY | 95576073 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9120457 | BOY |
| EOY | 7663385 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 91095 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9120457 | BOY |
| EOY | 7754480 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91057778 | BOY |
| EOY | 87821593 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91057778 | BOY |
| EOY | 87821593 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100178235 | BOY |
| EOY | 95576073 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,326 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 2326 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (MCNASH) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO STATE AND NATIONAL ORGANIZATIONS, WHERE THE ORGANIZATION HAS PROVIDED MCNASH WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MCNASH MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8091311 | OtherCostOrOtherBasis |
| Book Value | 8091311 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36507682 | OtherCostOrOtherBasis |
| Depreciation | 4915409 | Depreciation |
| Book Value | 31592273 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7809374 | OtherCostOrOtherBasis |
| Depreciation | 3115934 | Depreciation |
| Book Value | 4693440 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 510094 | OtherCostOrOtherBasis |
| Book Value | 510094 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 44887118 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER CURRENT LIABILITIES | Description |
| Amount | $91,095 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 91095 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS SOLE MEMBER, MOUNT CARMEL HEALTH SYSTEM (MCHS). MCHS' FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 DID NOT INCLUDE A FIN 48 FOOTNOTE. MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL is ALSO included in the consolidated financial statements of Trinity Health (THE SOLE MEMBER OF MOUNT CARMEL HEALTH SYSTEM). Trinity Health's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 184 | PersonsServed |
| Total Community Benefit Expense | 925722 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 925722 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 136 | PersonsServed |
| Total Community Benefit Expense | 2158048 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 719278 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1438770 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01830 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 320 | PersonsServed |
| Total Community Benefit Expense | 3083770 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 719278 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2364492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 320 | PersonsServed |
| Total Community Benefit Expense | 3083770 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 719278 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2364492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $351,962 | BadDebtExpenseAmount |
| Amount Attributable To | 70 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17828999 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21149087 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3320088 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Carmel New Albany Surgical Hosp | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7333 Smiths Mill Road | AddressLine1 |
| City | New Albany | City |
| State | OH | State |
| ZIP Code | 43054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: Mount carmel new albany surgical hospital reports its community benefit information as part of the consolidated community benefit information reported by Trinity Health in its annual report, available at www.trinity-health.org.In addition, mount carmel new albany surgical Hospital includes a copy of its most recently filed schedule H on trinity health's website as well as mount carmel health system's website (www.mountcarmelhealth.com). | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: The best available data was used to calculate the cost amounts reported in item 7. For certain categories, primarily total charity care and means-tested government programs, specific cost-to-charge ratios were calculated and applied to those categories. The cost-to-charge ratio was derived from worksheet 2, ratio of patient care cost-to-charges. In other categories, the best available data was derived from the Hospital's cost accounting system. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: The following number, $946,192, represents the amount of bad debt expense included in total functional expenses in Form 990, Part IX, Line 25. Per IRS instructions, this amount was excluded from the denominator when calculating the percent of total expense for Schedule H, Part I, Line 7, column (f). | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY. Any discounts provided or payments made to a particular patient account are applied to that patient account prior to any bad debt write-off and are thus not included in bad debt expense. As a result of the payment and adjustment activity being posted to bad debt accounts, we are able to report bad debt expense net of these transactions.THE ORGANIZATION IDENTIFIES MANY CHARITY PATIENTS AT THE TIME OF SERVICE AND INCLUDES A CHARITY APPLICATION WITH EVERY STATEMENT PER OHIO LAW. THE AMOUNT ON LINE 3 WAS OBTAINED BY A THIRD PARTY VENDOR, QUALINK, WHO REVIEWS ACCOUNTS ASSIGNED TO BAD DEBT WHO MAY QUALIFY FOR HCAP, OHIO'S PROGRAM FOR THE INDIGENT POPULATION, IN ORDER TO IDENTIFY ANY REMAINING DOLLARS THAT MAY QUALIFY FOR CHARITY. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Similar to CHA recommendations, which state that serving Medicare patients is not a differentiating feature of tax-exempt healthcare organizations and that the existing community benefit framework allows community benefit programs that serve the Medicare population to be counted in other community benefit categories, Mount Carmel New Albany Surgical hospital does not believe any Medicare shortfall should be treated as community benefit.Part III, Line 8: Costing methodology for line 6 - Medicare costs were obtained from the filed Medicare cost report. The costs are based on Medicare allowable costs as reported on worksheet B, column 27, which exclude direct medical education costs. Inpatient Medicare costs are calculated based on a combination of allowable cost per day times Medicare days for routine services and cost to charge ratio times Medicare charges for ancillary services. Outpatient Medicare costs are calculated based on cost to charge ratio times Medicare charges by ancillary department. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: THE ORGANIZATION'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE MINISTRY ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: NEEDS ASSESSMENT-Mount Carmel Health System, WHICH INCLUDES MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL, is committed to helping assess and address the healthcare needs of the communities it serves through its own programs and services and in partnership with others.Mount Carmel Health System assesses the health needs of the community through Community Health Needs Assessments every three (3) years. A Community Health Needs Assessment is a point-in-time effort to measure the health and well being of the community. It serves as the basis for Mount Carmel's strategic and subsequent action planning to develop health policy, allocate resources, improve or expand existing services, implement new programs and collaborate with other community healthcare providers. A Community Health Needs Assessment also serves as a benchmark for future assessment of relative progress toward established community health objectives.Mount Carmel's Community Health Needs Assessment provides the opportunity to:-Gain insights into the needs and assets of the communities served -Identify and address the needs of vulnerable populations within the community-Enhance hospital/community relationships and the opportunity for collaborative community action, including involvement with coalitions, partnerships, boards, committees, commissions, advisory groups and panels-Provide the information required for community outreach planningMount Carmel's Community Health Needs Assessment process involves the gathering of two types of data: quantitative (demographics, health indicators, etc.) and qualitative (public surveys, forums, focus groups). While Mount Carmel conducts some of its own original research in completing the Community Needs Assessment, it also relies upon the availability of data collected by others whenever possible to avoid unnecessary duplication. The data help support short-term and long-term decisions about allocation of community human and capital resources. Mount Carmel's most recent Community Needs Assessment was released in January 2007. Besides its Board of Trustees, Mount Carmel shares the findings of its Community Needs Assessments with other non-profit organizations and government officials/entities and seeks to form collaborative partnerships with them when possible to avoid unnecessary duplication of efforts in addressing identified community health needs.The Mount Carmel Health System is in the process of conducting a new survey which will be completed by January 30th, 2012. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Patient Education of Eligibility for Assistance - Mount Carmel Health System, including Mount Carmel New Albany Surgical Hospital, is committed to:- Providing access to quality healthcare services with compassion, dignity and respect for those we serve, particularly the poor and the underserved in our communities.- Caring for all persons, regardless of their ability to pay for services- Assisting patients who cannot pay for part or all of the care they receive- Balancing needed financial assistance for some patients with broader fiscal responsibilities in order to sustain viability and provide the quality and quantity of services for all who may need care in a community.In accordance with AMERICAN HOSPITAL ASSOCIATION (AHA) recommendations, Mount Carmel Health System has adopted the following guiding principles when handling the billing, collection and financial support functions for our patients:- Provide effective communications with patients regarding hospital bills- Make affirmative efforts to help patients apply for public and private financial support programs- Offer financial support to patients with limited means- Implement policies for assisting low-income patients in a consistent manner- Implement fair and consistent billing and collection practices for all patients with patient payment obligationsMount Carmel Health System is committed to effectively communicating with patients regarding patient payment obligations. Financial counseling is provided to patients about their payment obligations and hospital bills. Information about Mount Carmel's patient financial assistance program and external programs that provide coverage for services are made available to patients during the pre-registration and registration processes and/or through communications with patients seeking financial assistance. This information is communicated through Patient Financial Services associates in patient registration, customer service, and billing and collections -- all of whom receive training regarding federal, state and local public financial assistance programs and Mount Carmel's patient financial assistance program. In addition, the external collection agencies and external Medicaid eligibility verification vendor with whom Mount Carmel works also receive training regarding these programs. All Mount Carmel patient financial statements include a financial assistance application and phone number for patients to call with questions.Financial counselors make affirmative efforts to help patients apply for public and private programs for which they may qualify and which may assist them in obtaining and paying for healthcare services. Mount Carmel Health System utilizes both internal resources and an external vendor to assist patients in applying for Medicaid. Inpatients, Emergency Department patients, Clinic patients, and patients receiving high-cost outpatient services are screened to determine whether they qualify for federal, state or local public financial assistance programs or Mount Carmel's patient financial assistance program. Every effort is made to determine a patient's eligibility prior to or at the time of admission or service. However, determination for financial support can be made during any stage of the patient's stay after stabilization or collection cycle.Mount Carmel Health System offers financial support to patients with limited financial means who do not qualify for public programs like Medicaid or other public assistance. Notification about financial assistance, including contact information, is communicated via signs that are prominently displayed in all patient registration areas. Brochures placed in patient registration areas educate patients in greater detail about the availability of federal, state and local assistance programs as well as Mount Carmel's patient financial assistance program.Summaries of federal, state and local public financial assistance programs and Mount Carmel's own patient financial assistance program also are made available through Mount Carmel services that directly interact with the community, including Mount Carmel Community Outreach and Mount Carmel Health Stations clinics; other organizations that serve the uninsured and underinsured such as Access Health Columbus; social services agencies like Catholic Social Services and homeless shelters; and federally qualified health centers like Heart of Ohio Family Health Centers, AND LOWER LIGHTS CHRISTIAN HEALTH CENTER. Information regarding patient financial assistance programs also is available on Mount Carmel's Website.In addition to English, patient financial assistance information is also available in Spanish and Somali for those with limited English proficiency, reflecting other predominant languages spoken in the communities served by Mount Carmel. Mount Carmel also has Interpreting Services available for limited English proficiency patients who speak other languages.Mount Carmel Health System has established a written policy for the billing, collection and support for patients with payment obligations. Mount Carmel Health System makes every effort to adhere to the policy and is committed to implementing and applying the policy for assisting patients with limited means in a professional, consistent manner. Mount Carmel Health System educates staff members who work closely with patients (including those working in patient registration, customer service, billing and collections) about these policies with an emphasis on treating all patients with dignity and respect regardless of their insurance status or their ability to pay for services. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Community Information - Mount Carmel Health System, which includes Mount Carmel New Albany SURGICAL HOSPITAL, predominately serves Central Ohio, which includes Franklin and five contiguous counties (Delaware, Fairfield, Licking, Madison and Pickaway). This region is home to nearly 1.7 million residents. Among Central Ohio households, 20% have a household income of less than $25,000, and another 26% have a household income of between $25,000 and $50,000.Over the next five years, Central Ohio's population is expected to experience a high growth rate (18%) in adults age 55 and older and a slight decline in adults between the ages of 18 and 34. In 2009, approximately 33% of the population over age 25 held a bachelor's or higher degree, nearly five AND A HALF percentage points higher than the national average.Central Ohio features a diverse employer base, including manufacturing, trade, education, service, finance and agriculture. The OCTOBER 2010 unemployment rate was 8.4%, a DECLINE of 0.4 percentage points over November 2009.According to the 2008-2009 Ohio Family Health Survey, 138,625 adults in Franklin County between the ages of 18-64, or about 19% of that population, do not have health insurance. This number is slightly higher than the statewide percentage of 17% uninsured adults in that age group. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Other Information - One hundred percent of Mount Carmel's surplus revenue is invested back into supporting the organization's healthcare ministry. Mount Carmel Health System is governed by a 15-member Board of Trustees, with a majority of the seats allocated to community representatives and leaders. Our governance structure ensures that the community and its interests are strongly represented in important decision-making.Mount Carmel Health System maintains an open medical staff - medical staff privileges are extended to all qualified physicians. Mount Carmel actively recruits, and employs doctors to serve in under-served areas of the community. Mount Carmel Health System also helps train medical professionals by operating a Graduate Medical Education program that trains physicians in family practice, internal medicine, obstetrics & gynecology, general surgery, orthopedic surgery and transitional year (for physicians who want to pursue sub-specialty training.)System wide senior leadership members serve on a number of boards for community agencies such as the Westside health advisory board, Franklinton Area Commission, Hilltop Business Association, The New Albany Chamber of Commerce, and the Lifeline of Ohio (LOOP) board. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS A MEMBER ORGANIZATION OF Trinity Health, the fourth-largest Catholic health care system in the country. Based in Novi, Michigan, Trinity Health annually requires that all member organizations develop, and are held accountable for achieving, community benefit goals that include developing needed services or expanding access to services for low-income individuals. As a not-for-profit health system, Trinity Health reinvests its profits back into the community through programs to serve the poor and uninsured, manage chronic conditions like diabetes, health education and promotion initiatives, and outreach for the elderly. In Fiscal Year 2010, this included nearly $456 million in such community benefits. Therefore, Trinity Health takes a systems approach in its community benefit planning and implementation, and is consequently able to ensure that its member hospitals and other entities/affiliates are helping promote and address the health needs of their respective communities.For more information about Trinity Health, visit www.trinity-health.org. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAUS VON ZYCHLIN | |||||||||||||
| 0 | 466168 | 0 | 442450 | 0 | 98451 | 0 | 42829 | 0 | 27419 | 0 | 1077317 | 0 | 0 |
| JACQUELINE PRIMEAU | |||||||||||||
| 0 | 343908 | 0 | 70753 | 0 | 76981 | 0 | 22360 | 0 | 10226 | 0 | 524228 | 0 | 60642 |
| RICHARD D'ENBEAU | |||||||||||||
| 0 | 0 | 0 | 0 | 700928 | 0 | 0 | 0 | 0 | 0 | 700928 | 0 | 0 | 0 |
| RONALD WHITESIDE | |||||||||||||
| 0 | 357508 | 0 | 70976 | 0 | 25492 | 0 | 248590 | 0 | 20681 | 0 | 723247 | 0 | 0 |
| JOHN HEISLER | |||||||||||||
| 0 | 241561 | 0 | 44566 | 0 | 13168 | 0 | 21667 | 0 | 21838 | 0 | 342800 | 0 | 0 |
| HUGH JONES | |||||||||||||
| 0 | 222663 | 0 | 46769 | 0 | 17018 | 0 | 12051 | 0 | 20734 | 0 | 319235 | 0 | 6759 |
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1214458 | 0 | 1607837 | 0 | 200997 | 0 | 769899 | 0 | 28404 | 0 | 3821595 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 696108 | 0 | 681725 | 0 | 240008 | 0 | 125922 | 0 | 28467 | 0 | 1772230 | 0 | 94766 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 712415 | 0 | 611975 | 0 | 129305 | 0 | 117250 | 0 | 12921 | 0 | 1583866 | 0 | 0 |
| J RICHARD OCONNELL | |||||||||||||
| 0 | 440925 | 0 | 0 | 0 | 54218 | 0 | 11123 | 0 | 0 | 0 | 506266 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4a | THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2009).THE FOLLOWING ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS $59,584 MICHAEL SLUBOWSKI $42,832 JOSEPH SWEDISH $249,263 CLAUS VON ZYCHLIN $22,044 Part I, Line 4B: The following are participants in a supplemental executive retirement plan (SERP). The following SERP accruals for 2009 are included in column C of Schedule J, Part II: KEDRICK ADKINS $38,675 MICHAEL SLUBOWSKI $55,733 JOSEPH SWEDISH $493,225 RONALD WHITESIDE $206,250 Part II, Column B (ii): The following individuals received amounts in 2009 from a long-term incentive plan (LTIP). Participants in the LTIP (CEOs and certain Trinity executives) were eligible to receive a payment under the plan only if certain patient loyalty improvement targets were achieved by the end of a three-year period (FY07 through FY09). The following LTIP amounts are included in Schedule J, Part II, Column B(ii): KEDRICK ADKINS $337,826 MICHAEL SLUBOWSKI $403,918 JOSEPH SWEDISH $1,042,563 CLAUS VON ZYCHLIN $292,000 | |
| Part III | PART II: RICHARD D'ENBEAU - THE AMOUNT LISTED IN COLUMN B(III) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY MOUNT CARMEL HEALTH SYSTEM (MCHS) IN CALENDAR 2009 TO NEW ALBANY MANAGEMENT COMPANY II, LLC FOR MR. D'ENBEAU'S SERVICES, AS WELL AS FOR THE SERVICES OF THREE OTHER INDIVIDUALS. MCHS DOES NOT KNOW THE PORTION OF THE $700,928 THAT WAS FOR MR. D'ENBEAU'S SERVICES VS. THE OTHER THREE INDIVIDUALS. MCHS ALSO DOES NOT KNOW HOW MUCH MR. D'ENBEAU RECEIVED AS WAGES FROM THE MANAGEMENT COMPANY IN CALENDAR 2009. THE $700,928 IS INCLUDED IN THE TOTAL MANAGEMENT FEE REPORTED IN SCHEDULE L, PART IV. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW ALBANY HOSPITAL MANAGEMENT COMPANY II LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | CARL BERASI, CHAIR, IS PART OWNER AND BOARD MEMBER OF NEW ALBANY MGT CO II. | Relationship |
| Amount Of Transaction | 1823428 | AmountOfTransaction |
| Description Of Transaction | MANAGEMENT FEES PAID TO NEW ALBANY MANAGEMENT COMPANY II, LLC | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | CHARLES KERR, D.O., RICHARD D'ENBEAU, AND CARL BERASI, D.O. HAVE A BUSINESS RELATIONSHIP. | |
| Form 990, Part VI, Section A, line 3 | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL RECEIVES MANAGEMENT SERVICES FROM NEW ALBANY MANAGEMENT COMPANY II, LLC. UNDER THE MANAGEMENT SERVICES AGREEMENT, NEW ALBANY MANAGEMENT COMPANY MANAGES THE DAY-TO-DAY OPERATION, MANAGEMENT, AND SUPERVISION OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. INCLUDED IN THE AGREEMENT IS THE PROVISION BY THE MANAGEMENT COMPANY OF A CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT OF CLINICAL SERVICES, SENIOR FINANCIAL ANALYST, AND CHIEF NURSING OFFICER FOR THE HOSPITAL. SEE SCHEDULE J, PART III AND SCHEDULE L FOR ADDITIONAL INFORMATION. | |
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS MOUNT CARMEL HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| Form 990, Part VI, Section A, line 7a | MOUNT CARMEL HEALTH SYSTEM (MCHS) IS THE SOLE MEMBER OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL (MCNASH). MCHS HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MCNASH. | |
| Form 990, Part VI, Section A, line 7b | AS SOLE MEMBER, MOUNT CARMEL HEALTH SYSTEM (MCHS) MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MCHS MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. | |
| Form 990, Part VI, Section B, line 11 | PRIOR TO FILING, THE FORM 990 FOR MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| Form 990, Part VI, Section B, line 12c | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL, WHICH INCLUDES trustees, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF trustees OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF trustees OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL ON AN ANNUAL BASIS. | |
| Form 990, Part VI, Section B, line 15 | TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. | |
| Form 990, Part VI, Section C, line 19 | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AS WELL AS MOUNT CARMEL HEALTH SYSTEM'S WEBSITE (WWW.MOUNTCARMELHEALTH.COM). | |
| SCH L, PART IV: (B) CONTINUED - CHARLES KERR, TRUSTEE, IS ALSO PART OWNER OF NEW ALBANY MGT CO II | ||
| Form 990, Part VII, Section A, Line 1 , Column B: | THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 53 HOURS SR. BARBARA HAHL, CSC - 50 HOURS JOHN HEISLER - 50 HOURS HUGH JONES - 50 HOURS J. RICHARD O'CONNELL - 53 HOURS JACQUELINE PRIMEAU - 50 HOURS MICHAEL SLUBOWSKI - 53 HOURS JOSEPH SWEDISH - 53 HOURS RONALD WHITESIDE - 50 HOURS CLAUS VON ZYCHLIN - 50 HOURS | Estimate of the average hours per week devoted to related organizations: |
| Form 990, Part VII, Section A, Line 1: | SR. BARBARA HAHL IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. BARBARA DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MOUNT CARMEL HEALTH SYSTEM EXCEPT FOR INSURANCE BENEFITS ($5,093) AND THE USE OF A LEASED CAR ($3,120). INSTEAD, A TOTAL OF $257,696 WAS PAID BY MOUNT CARMEL HEALTH SYSTEM DIRECTLY TO THE SISTERS OF THE HOLY CROSS FOR SR. BARBARA'S SERVICES. | Trustees: |
| FORM 990, PART XI, LINE 2: | MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL'S financial statements were included in the FY10 consolidated financial statements of MOUNT CARMEL HEALTH SYSTEM, AS WELL AS THE CONSOLIDATED FINANCIAL STATEMENTS OF Trinity Health. BOTH SETS OF CONSOLIDATED FINANCIAL STATEMENTS WERE audited by an independent public accounting firm. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CLR Investments LLC | |||||||||
| 120 W HARRIS ST | CADILLAC | MI | 49601 | 320008631 | Real estate rental & development | MI | 19827 | 175469 | Trinity Health-Michigan |
| Saint Agnes Home Health and Hospice LLC | |||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 382621935 | Provide home health services | CA | 9367604 | 1116725 | Trinity Home Health Services Inc |
| Saint Mary's Pharmacy LLC | |||||||||
| 200 JEFFERSON AVE SE | GRAND RAPIDS | MI | 49503 | 383404443 | Pharmacy | MI | 0 | 0 | Trinity Health-Michigan |
| Mount Carmel HealthProviders Two LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 201983271 | MEDICAL SERVICES | OH | 0 | 0 | MOUNT CARMEL HEALTH PROVIDERS INC |
| PATHWAY HOSPICE LLC | |||||||||
| 1050 SW 3RD AVE SUITE 1600 | ONTARIO | OR | 97914 | 931310235 | HOSPICE CARE | OR | 1273503 | 1512716 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO |
| TRINITY HEALTH-WARDE LAB LLC | |||||||||
| 34605 W TWELVE MILE ROAD | FARMINGTON HILLS | MI | 48331 | 272681908 | REAL ESTATE RENTAL | DE | 0 | 0 | TRINITY HEALTH - MICHIGAN |
| MOUNT CARMEL HEALTH PROVIDERS III LLC | |||||||||
| 10 West Broad St Ste 2100 | COLUMBUS | OH | 43215 | 204145781 | MEDICAL SERVICES | OH | 1741059 | 6043 | MOUNT CARMEL HEALTH PROVIDERS INC |
Form990 Schedule R Part II Form990ScheduleRPartII (90 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| AMICARE HOSPICE SERVICES INC | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382949053 | PROVIDE HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | SUPPORTS SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| BATTLE CREEK HEALTH SYSTEM | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | |
| BATTLE CREEK HEALTH SYSTEM AUXILIARY | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 383355520 | SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION | MI | 501(C)(3) | 11, TYPE I | BATTLE CREEK HEALTH SYSTEM | |
| BAUM HARMON MERCY HOSPITAL | ||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | Acute/Ambulatory healthcare services | IA | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | ||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Baum Harmon Mercy Hospital | |
| CAPITAL PARK FAMILY HEALTH CENTER INC | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311387838 | Operation of a federally qualified health center (formerly) | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | Further Trinity Health activities, organize and develop medical services | MI | 501(C)(3) | 11, TYPE II | Trinity Health-Michigan | |
| Cranbrook Hospice Care | ||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 48302 | 383320699 | Provide hospice health services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Diley Ridge Medical Center | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | Hospital campus in Fairfield County Ohio | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Dubuque Mercy Health Foundation Inc | ||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| Dyersville Health Foundation Inc | ||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| Hackley Hospital | ||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 494433302 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| Hackley Hospital Self Insurance Professional Liability Trust | ||||||||||
| PO BOX 3302 | MUSKEGON | MI | 494433302 | 382299878 | Self insurance for general and malpractice liability | MI | 501(C)(3) | 11, TYPE III-FI | Mercy Health Partners | |
| Hackley Life Counseling | ||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 494423545 | 381386362 | Counseling, education, and support | MI | 501(C)(3) | 9 | Mercy Health Partners | |
| Hackley Visiting Nurse Services and Hospice Inc | ||||||||||
| 888 TERRACE ST | MUSKEGON | MI | 49440 | 381359598 | Provide home health care services | MI | 501(C)(3) | 7 | Mercy Health Partners | |
| Holy Cross Carenet Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | Long-term care and rehabilitation for the elderly | MD | 501(C)(3) | 9 | Trinity Continuing Care Services | |
| Holy Cross Hospital Foundation Inc | ||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | Charitable fundraising | MD | 501(C)(3) | 11, TYPE I | Holy Cross Hospital of Silver Spring Inc | |
| Holy Cross Hospital of Silver Spring Inc | ||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 209101484 | 520738041 | HEALTHCARE SERVICES | MD | 501(C)(3) | 3 | Trinity Health Corporation | |
| Holy Cross Medical Center | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| HOLY ROSARY MEDICAL CENTER FOUNDATION | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| Hospice of North Iowa | ||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 504016208 | 421173708 | Hospice health care services | IA | 501(C)(3) | 7 | Mercy Health Services-Iowa Corp | |
| Hospice of Washtenaw II | ||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | Hospice health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| HPCN | ||||||||||
| 1675 LEAHY STREET | MUSKEGON | MI | 49442 | 300207909 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE II | Mercy Health Partners | |
| Lakeshore Community Hospital Inc | ||||||||||
| 72 S STATE STREET | SHELBY | MI | 494551228 | 382549295 | Acute healthcare services | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| Lifespan Inc | ||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | Provide hospice health services | MI | 501(C)(3) | 9 | Battle Creek Health System | |
| Marian Home Healthcare | ||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | Provide home health care services | IA | 501(C)(3) | 11, TYPE I | Mercy Health Services-Iowa Corp | |
| McAuley Clinic Corporation | ||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | 3 | Catherine McAuley Health Services Corp | |
| Mercy Amicare Home Healthcare Oakland | ||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 483020312 | 383320698 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Amicare Home Healthcare Port Huron | ||||||||||
| 2540 16TH STREET | PORT HURON | MI | 48060 | 383320701 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Community Physicians | ||||||||||
| 363 FREMONT ST | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Battle Creek Health System | |
| Mercy General Health Partners Amicare Homecare | ||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Health Partners | ||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | Healthcare system support | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Health Services - Iowa Corp | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | 3 | Trinity Health-Michigan | |
| Mercy Healthcare Foundation | ||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | Fundraising and financial assistance for hospital charitable services | IA | 501(C)(3) | 11, TYPE I | Mercy Medical Center-Clinton | |
| Mercy Hosp & Health Services of DetroitMarshall Park Health Services Inc | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 381562325 | Supports malpractice contingencies of closed hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Hospital Cadillac Foundation | ||||||||||
| 400 HOBART | CADILLAC | MI | 496012331 | 203357131 | Support the services of related hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Hospital Gift Shop | ||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | Volunteer Service Auxiliary | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Medical Center - Clinton Inc | ||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 527322940 | 421336618 | To provide quality health care | DE | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| Mercy Medical Center - Sioux City Foundation | ||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | Support the services of related hospital | IA | 501(C)(3) | 7 | Mercy Health Services-Iowa Corp | |
| Mercy Medical Center Foundation - North Iowa | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 504012800 | 421229151 | Support the services of related hospital | IA | 501(C)(3) | 11, TYPE III-FI | Mercy Health Services-Iowa Corp | |
| MERCY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |
| Mercy North Homecare and Hospice | ||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | Home health and hospice services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Pavilion of Battle Creek | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382783350 | Provides long-term care for the elderly | MI | 501(C)(3) | 9 | Battle Creek Health System | |
| MERCY PHYSICIAN GROUP INC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 208192593 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |
| Mercy Services for Aging Non-profit Housing Corporation | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382719605 | Provides long-term care for the elderly | MI | 501(C)(3) | 11, TYPE II | Trinity Continuing Care Services Inc | |
| Midwest Medflight | ||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | Aeromedical transport | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| Mount Carmel Care Continuum Services Corp | ||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311126211 | Cooperative hospital service organization | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Mount Carmel College of Nursing | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | College of nursing | OH | 501(C)(3) | 2 | Mount Carmel Health | |
| Mount Carmel Health | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| Mount Carmel Health Insurance Company | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | Health Insurance | OH | 501(C)(4) | N/A | Mount Carmel Health System | |
| Mount Carmel Health Plan Inc | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | Medicare HMO for seniors | OH | 501(C)(4) | N/A | Mount Carmel Health System | |
| Mount Carmel Health System | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | Healthcare system management and support | OH | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | 11, TYPE I | MOUNT CARMEL HEALTH SYSTEM | |
| Mount Carmel Home Care LLC | ||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | Provide home health care services | OH | 501(C)(3) | 9 | Trinity Home Health Services Inc | |
| Mount Carmel New Albany Surgical Hospital | ||||||||||
| 7333 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 870790288 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| MRI Mobile Services of West Michigan | ||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | |
| Oakland Mercy Hospital | ||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| Port Huron Mercy Family Care Inc | ||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Professional Med Team | ||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | Medical care, transportation and education | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| Professional Office Corporation | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | Saint Agnes Medical Center | |
| Saint Agnes Medical Center | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| Saint Alphonsus Building Company Inc | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | Supports services of related hospital | ID | 501(C)(3) | 11, TYPE I | Saint Alphonsus Regional Medical Center Inc | |
| Saint Alphonsus Diversified Care Inc | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | Supports services of related hospital | ID | 501(C)(3) | 11, TYPE I | Saint Alphonsus Regional Medical Center Inc | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | |
| Saint Joseph Regional Medical Center - Plymouth Campus Inc | ||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | Healthcare services | IN | 501(C)(3) | 3 | Saint Joseph Regional Medical Center Inc | |
| Saint Joseph Regional Medical Center - South Bend Campus Inc | ||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 466341935 | 350868157 | Healthcare services | IN | 501(C)(3) | 3 | Saint Joseph Regional Medical Center Inc | |
| Saint Joseph Regional Medical Center Inc | ||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 351568821 | Healthcare system management and support | IN | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Saint Joseph's Auxiliary of Marshall County | ||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | Hospital Service Auxiliary | IN | 501(C)(3) | 11, TYPE II | Saint Joseph Regional Medical Center - Plymouth Campus Inc | |
| Saint Joseph's Tower Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 311040468 | Provides housing for low income elderly individuals | IN | 501(C)(3) | 9 | Trinity Continuing Care Services-Indiana | |
| Saint Mary's Amicare Home Healthcare | ||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 48905 | 383320700 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Saint Mary's Doran Foundation CO Saint Mary's Health Care | ||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | Supports services of related hospital | MI | 501(C)(3) | 7 | Trinity Health-Michigan | |
| St Alphonsus Regional Medical Center | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | Healthcare services | ID | 501(C)(3) | 3 | Trinity Health Corporation | |
| St John's Health System | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | Trinity Health Corporation | |
| St Joseph Mercy Oakland Foundation | ||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | Supports services of related hospital | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| St Ann's Hospital | ||||||||||
| 500 SOUTH CLEVELAND AVE | WESTERVILLE | OH | 43081 | 314412701 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| ST ELIZABETH HEALTH CARE FOUNDATION | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |
| St Joseph's Medical Center Auxiliary | ||||||||||
| 801 E LASALLE AVE PO BOX 1935 | SOUTH BEND | IN | 466341935 | 356033285 | Hospital Service Auxiliary | IN | 501(C)(4) | N/A | Saint Joseph Regional Medical Center - South Bend Campus Inc | |
| The Foundation of Saint Joseph Regional Medical Center | ||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | Supports services of related hospital | IN | 501(C)(3) | 11, TYPE I | Saint Joseph Regional Medical Center Inc | |
| Trinity Continuing Care Services | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382559656 | Management services for Long term care and senior living facilities | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Trinity Continuing Care Services - Indiana Inc | ||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 930907047 | Provides long-term care and residential housing | IN | 501(C)(3) | 9 | Trinity Continuing Care Services | |
| Trinity Health - Michigan | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Trinity Health Corporation | |
| Trinity Health Corporation | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | Healthcare system management and support | IN | 501(C)(3) | 11, TYPE I | N/A | |
| Trinity Health International | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 421253527 | Healthcare training and support services | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
| Trinity Health Welfare Benefit Trust | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 208151733 | Retiree medical and retiree life insurance coverage | MI | 501(C)(9) | N/A | Trinity Health Corporation | |
| Trinity Home Health Services Inc | ||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | Home health care system management services | MI | 501(C)(3) | 11, TYPE I | Trinity Health Corporation | |
Form990 Schedule R Part III Form990ScheduleRPartIII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING SERVICES OF BATTLE CREEK | ||||||||||
| 5352 BECKLEY ROAD STE A | BATTLE CREEK | MI | 49015 | 204594297 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 |
| ADVENT REHABILITATION LLC | ||||||||||
| 560 FIFTH ST NW STE 404 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| BSV MEDICAL OFFICE BUILDING II LLC | ||||||||||
| 855 M STREET TENTH FLOOR | FRESNO | CA | 93721 | 202673839 | MEDICAL OFFICE BUILDING RENTAL | CA | N/A | N/A | 0 | 0 |
| CCH LABORATORY | ||||||||||
| 775 SOUTH MAIN STREET | CHELSEA | MI | 48118 | 382910400 | LABORATORY | MI | N/A | N/A | 0 | 0 |
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 |
| CLINTON IMAGING SERVICES LLC | ||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | N/A | 0 | 0 |
| FOREST PARK IMAGING LLC | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | N/A | 0 | 0 |
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 |
| FRESNO IMAGING CENTER | ||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | N/A | 0 | 0 |
| HAWARDEN COMMUNITY CLINIC LLC | ||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 |
| IDAHO GYNONCOLOGY SERVICES LLC | ||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | N/A | 0 | 0 |
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MEDILUCENT MOB I | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MERCY HEART CTR OP SERVICES LLC | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | N/A | 0 | 0 |
| MERCY OUTPATIENT SURGERY CENTER LLC | ||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | N/A | N/A | 0 | 0 |
| MICHIANA HEALTH INFORMATION NETWORK LLC | ||||||||||
| 215 WEST MADISON STREET | SOUTH BEND | IN | 46601 | 352050128 | COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY | IN | N/A | N/A | 0 | 0 |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 |
| PLAZA SURGICAL CENTER | ||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 371463357 | AMBULATORY SURGERY | CA | N/A | N/A | 0 | 0 |
| RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311531135 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 |
| SIXTY FOURTH STREET LLC | ||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | N/A | 0 | 0 |
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| TAMARACK MEDICAL CLINIC LLC | ||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 |
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| WOODLAND IMAGING CENTER LLC | ||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH VENTURES INC | ||||||||||||
| 565 W WESTERN AVE | MUSKEGON | MI | 49440 | 383522260 | SOFTWARE MARKETING | MI | N/A | C | ||||
| GENERAL HEALTHCORP VENTURES INC | ||||||||||||
| 1820-44TH STREET | KENTWOOD | MI | 49508 | 382533165 | MEDICAL SERVICES | MI | N/A | C | ||||
| HACKLEY HEALTH MANAGEMENT CENTER | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | ||||
| HACKLEY HEALTH VENTURES INC | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | ||||
| HACKLEY HEALTHCARE EQUIPMENT | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | ||||
| HACKLEY ORTHOTICS & PROSTHETICS | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382999815 | HEALTHCARE SERVICES | MI | N/A | C | ||||
| HACKLEY PROFESSIONAL CENTER | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | ||||
| HACKLEY PROFESSIONAL PHARMACY | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | ||||
| HEF INC | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | ||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | ||||
| HURON ARBOR CORPORATION | ||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | ||||
| MARYLAND CARE GROUP INC | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | ||||
| MEDNOW INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | ||||
| MERCY MEDICAL SERVICES | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | ||||
| MICHIGAN PHYSICIAN SERVICES | ||||||||||||
| 44405 WOODWARD AVENUE H-5 | PONTIAC | MI | 48341 | 383293125 | PHYSICIAN SERVICES | MI | N/A | C | ||||
| MICHIGAN ATHLETIC CLUB | ||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49546 | 382647304 | ATHLETIC CLUB | MI | N/A | C | ||||
| MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 310971510 | BEHAVIORAL HEALTHCARE SERVICES | OH | N/A | C | ||||
| MOUNT CARMEL HEALTH HORIZONS CORP | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311177652 | MEDICAL SERVICES/RENT | OH | N/A | C | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | ||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | ||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | N/A | C | ||||
| PRIMARY CARE NETWORK OF OHIO INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311422486 | HEALTH MANAGEMENT SERVICES | OH | N/A | C | ||||
| PRIORITY PLUS OF CALIFORNIA | ||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS | CA | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIAN SERVICES INC | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820477852 | PHYSICIAN CLINICS | ID | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIANS PA | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 837061370 | 331078261 | PHYSICIANS | ID | N/A | C | ||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | ||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | ||||
| SURGERY CENTER FINANCING CORPORATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 383410377 | GRANTOR TRUST | MI | N/A | T | ||||
| TRINITY HEALTH SELF-INSURANCE PLAN | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742154 | GRANTOR TRUST | MI | N/A | T | ||||
| TRINITY HEALTH SELF-INSURED WORKERS' COMPENSATION FUND | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742157 | GRANTOR TRUST | MI | N/A | T | ||||
| VENZKE INSURANCE COMPANY LTD | ||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| WESTSHORE HEALTH NETWORK | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | PHYSICIAN HOSPITAL ORGANIZATION | MI | N/A | C | ||||
| WORKPLACE HEALTH OF GRAND HAVEN | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MOUNT CARMEL HEALTH SYSTEM | |
| O | 61257 |
| MOUNT CARMEL HEALTH SYSTEM | |
| B | 20688100 |
| MOUNT CARMEL HEALTH | |
| L | 50343 |
| MOUNT CARMEL HEALTH PLAN INC | |
| K | 2807955 |
| MOUNT CARMEL HEALTH SYSTEM | |
| L | 7810717 |
| TRINITY HEALTH CORPORATION | |
| Q | 1400792 |